| NPI | 1023210416 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA LYNN SEYMOUR Executive Director 918-342-3334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2020-08-22 |